12-0415 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tit!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
12-00000415
Property Address:
49010 VISTA ESTRELLA
APN:
649-580-004- - -
Application description:
MECHANICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
21500 `
Applicant: Architect or Engineer:_
Gsrita�l«,.,rL r1A.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed der provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professio Code, and my License is in full force and effect.
License Class: C20 icense No.: 686310
XDate: Contractor:
ER- ILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason. (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State -
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or ,
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the .
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.l. ,
(_ 1 .I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 1 am exempt under Sec. , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
NORDQUIST,CARL & MARIA
49010 VISTA ESTRELLA.
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 .
Date: 4/17/12
LA QUINTA, CA 92253 F__
Contractor: 1 r 2012
GENERAL AIR CONDITIONING
31170 RESERVE DRIVE IYOFLAQUINTA
THOUSAND PALMS, CA 92276 FINANCE DEPT.
(760)343-7488
Lic. No.: 686310
------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier ZENITH INS CO Policy Number Z071741501
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any.manner so as to become subj c to the workers' compensation laws of California,
and agree that, if I should become subject a workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith ply with those provisions.
KDate: Applicant: ,
WARNING: FAILURE TO SECURE WORKERS'PENS TION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City ,
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit. '
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above i or tion is correct. I agree to comply with all
city and county ordinances and state laws relating to building con cion, and hereby authorize representatives
of this county to enter upon the above-mentioned property for ins on purposes.
K Date: Signature (Applicant or Agent):
LQPERMIT
Application Number 12-00000415
Permit . . . MECHANICAL
Additional desc .
Permit Fee . . 58.50 Plan Check Fee
14.63
Issue Date Valuation
0
Expiration Date 10/14/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
2.00 9.0000 EA MECH FURNACE <=100K
18.00
1.00 9.0000 EA MECH B/C <=3HP/100K BTU
9.00
1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU
16.50
-------------------
Special Notes and Comments
(2) HVAC CHANGE OUTS - 13SEER/78AFUE
SPLIT SYSTEMS [2008 ENERGY) CARBON
MONOXIDE ALARM(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2010 CALIFORNIA
BUILDING CODES.
April 17, 2012 12:51:47 PM AORTEGA
--------------------------------------------------------
Other Fees . . . . . . . ,. BLDG STDS ADMIN (SB1473)
-----------
1.0.0
Fee summary Charged Paid., Credited
Due
- --------- ----------
Permit Fee Total 58.50 .00 .00
58.50
Plan Check Total 14.63 .00 .00
14.63
Other Fee Total 1.00 .00 .00
1.00
Grand Total 74.13 .00 .00
74.13
F
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF -IR -ALT -HVAC
Climate Zones 10 - 15
Site!Address:
Enforcement Agency:
Date:
Permit #:
49010 VISTA ESTRELLA (SYS 2) La Quinta, CA 92253
City of La Quinta
I Apr 16, 2012
Duct insulation
Conditioned Floor
Equipment Type1
` List Minimum Efficiency2
requirement
Area
-Thermostat
❑ Package Unit
® Furnace
® Indoor Coil
® AFUE 78%
®SEER 13.0
[]COP
❑ HSPF
❑ R 6 (CZ 10-13) r+
Served'by system
®Setback
If not already present, must be
® Condensing Unit
❑ EER
❑ Resistance
0 R 8 (CZ 14-15)
1674 sf
.
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be. left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed bythe installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -111
and CF -611 shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
• All HVAC Equipment
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF -4R forms: MECH-21 and (for split systems) MECH-25 - '
•Condenser Coil and /or
• Indoor Coil and /or
CF -6R forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
CF -4R forms: MECH-21 and (for split systems),MECH-25 t
j,
For Split Systems: Duct leakagelc 15 percent; RC, CCA :5 300 CFM/ton (Minimum Air Flow. Requirement), TMAH
Exempted from duct leakage testing>if: -
,p f—Duct system.was documented to have been previously' sealed and confirmed through HERS verification, or
❑ 2. Duct systems with less than 40 linear feet in unconditioned space, or
p 3. Existing duct systems are constructed, insulated or sealed with asbestos
04. The system wall not be Ducted' (ie,,�Ductlesst ni-Split. System) (Also -Exempt from=Refrigerant.Charge)
❑ 2. New HVAC System
Required Forms:.
. Cut iWor Changeout with"
new ducts'(all
CF 6R forms.•.MECH-04, MECH-20 HERS, and�(for split systems) MEC HERS, and 4
new.,
ducting akall new n '
MECH `25 HERS
CF'4R forms-iMECH 20, an '(for split systems) i
and MECH-25
equipment ) °
,MECH=22,
For Split Systems:,Duct ,leakage <;6"percent, RC, CCA > 350 CFM/ton; FWD, TMAH STMS and either PSPP.
,HSPP'&
For Packaged Units: -Duct 1eakage<.6.percent�"'
113. New.,Ducts with/or without:,' ..
Required Forms:
Replacement i • °'
a '
• Includes replacing or installing all new
ducting and/or outdoor condensing'unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF -4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage< 6 percent; RC, CCA >_ 300 CFM/ton, TMAH, - -
For Packaged Units: Duct leakage < 6 percent
❑ 4. New Ducting over 40 feet
Required Forms:
• Includes adding or replacing more than 40
CF -6R forms: MECH-04; MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
❑ EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos. '
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete. -
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.-
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Danielle Garcia Signature: Danielle Garcia
Company: HARRISON ENTERPRISES INC Date: Apr 16, 2012
Address: 31-170 RESERVE DRIVE STE A License: 686310 _
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 343-7488
Reg: 212-A0018955A-00000000-0000 Registration Date/Time: 2012/04/16'20:34:20 .HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms' July 2010
Bin #
SubmittalReq'd
PlanSets.
Cityof La Quinta
Rec'•d
TRACKING
Plan Check submitted
"Building &I Safety Division
Permit
Structural Cales.
P.O. Box 1504, 78-495 Cage Tampico
l2 • tS
Reviewed, ready for corrections
La Quinta, CA 92253 - (760) 777-7012
Plan Check Deposit
Building Permit. Application and Tracking Sheet
Project Address: 4961
-all Owner's Name: Cori bYd V� 6
A. P. Number:
•
Address: O Sfi4
Legal Description:
City, ST, Zip: - l �S3
Contractor: ejLNW
Telephone:
Address: -31 T
hG la C mpn :City,
ST, Zip:'—
6Projectcription:
!/f -�
Telephone: D
tlJ
State Lie. # : 3�
City Lic. #; CSO (10
Arch., Engr., Designer:
Address:
Plans resubmitted
C;,.. ST, lip;
ielepnone:
;• Construction Type: Occupancy:
State Lic. #:' n~
Project type. (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Cc Sq. FL- # Stories: # Units:
Telephone # of Contact Person: 7& 0 3'e-6 -7.4 ?8* Estimated Valiie of Project:
APPLICANT- nn NAT W9e1Te aw nmer rule 1 imm
#
SubmittalReq'd
PlanSets.
Rec'•d
TRACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan. Check Balance •
Title 24 Cales.
Plans picked up
Ciiustruction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up.
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN
7rd Review,.ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.,
Pub. Wks.. Appr
Date of permit Issue
School.Fees .
Total Permit Fees